NPI | 1013648443 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2337062) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 265775) |
Enumeration Date | 2022-06-17 |
Last Update Date | 2024-06-28 |