NPI | 1023689858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2381532) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001245431) |
Enumeration Date | 2021-07-02 |
Last Update Date | 2023-08-23 |