NPI | 1063200210 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN283228) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: GA RN283228) |
Enumeration Date | 2025-04-28 |
Last Update Date | 2025-06-12 |