NPI | 1043677156 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN581569) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN581569) |
Enumeration Date | 2016-01-20 |
Last Update Date | 2022-10-13 |