NPI | 1023655768 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN713477) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA rn713477) |
367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001696) | |
Enumeration Date | 2019-12-02 |
Last Update Date | 2024-04-21 |