NPI | 1003567751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 141125) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11017213) |
Enumeration Date | 2022-01-14 |
Last Update Date | 2023-02-24 |