NPI | 1053057588 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6965) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NC 342913) |
367500000X Nurse Anesthetist, Certified Registered (Licence: NC 144820) | |
Enumeration Date | 2022-05-08 |
Last Update Date | 2022-09-19 |