NPI | 1073264495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95002338) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GU NP0257) |
163W00000X Registered Nurse (Licence: GU RE3439) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1066265) | |
Enumeration Date | 2022-01-17 |
Last Update Date | 2024-06-13 |