NPI | 1023583689 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2329625) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 798964) |
367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000995) | |
163W00000X Registered Nurse (Licence: MA RN2329625) | |
Enumeration Date | 2018-10-10 |
Last Update Date | 2019-01-29 |