NPI | 1083358212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0997676-CRNA) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1680045) |
Enumeration Date | 2022-04-25 |
Last Update Date | 2022-09-29 |