NPI | 1033830245 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024191336) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL 9548063) |
367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1121636) | |
Enumeration Date | 2022-09-06 |
Last Update Date | 2024-12-17 |