NPI | 1093284507 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11000803) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL RN9410019) |
Enumeration Date | 2018-11-14 |
Last Update Date | 2021-04-21 |