NPI | 1053933622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 137976) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9506168) |
Enumeration Date | 2020-05-17 |
Last Update Date | 2023-09-12 |