NPI | 1104524834 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN730008) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN730008) |
Enumeration Date | 2023-02-22 |
Last Update Date | 2024-02-28 |