NPI | 1023630670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R207918) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R207918) |
Enumeration Date | 2020-05-16 |
Last Update Date | 2021-11-12 |