NPI | 1043758154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN22237) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN88541) |
Enumeration Date | 2017-02-09 |
Last Update Date | 2021-07-27 |