NPI | 1053014233 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 306924) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 11033250) |
367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2023019707) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11033250) | |
Enumeration Date | 2023-03-24 |
Last Update Date | 2025-06-20 |