NPI | 1104475946 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 0100469) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN9383365) |
367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11005430) | |
Enumeration Date | 2019-09-04 |
Last Update Date | 2023-03-23 |