NPI | 1093554719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11039656) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9518708) |
Enumeration Date | 2024-05-22 |
Last Update Date | 2025-06-05 |