NPI | 1083187892 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 68214) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001022) |
Enumeration Date | 2019-01-03 |
Last Update Date | 2022-11-17 |