NPI | 1053908004 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 006540) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 134245) |
Enumeration Date | 2020-12-23 |
Last Update Date | 2024-07-18 |