NPI | 1023575297 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2557) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 747977) |
367500000X Nurse Anesthetist, Certified Registered (Licence: WI 1108912) | |
Enumeration Date | 2019-02-25 |
Last Update Date | 2024-02-28 |