NPI | 1013405026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9417582) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL rn9417582) |
Enumeration Date | 2018-04-25 |
Last Update Date | 2018-07-04 |