NPI | 1033871330 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704298292) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704298292) |
Enumeration Date | 2021-10-13 |
Last Update Date | 2023-02-08 |