NPI | 1114347838 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 19533) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 209140) |
Enumeration Date | 2014-04-21 |
Last Update Date | 2024-07-19 |