NPI | 1083955298 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0921) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RNP287067) |
Enumeration Date | 2013-03-13 |
Last Update Date | 2024-01-23 |