NPI | 1114415122 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 668739) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA 668739) |
367500000X Nurse Anesthetist, Certified Registered (Licence: NY 1258294) | |
Enumeration Date | 2018-04-25 |
Last Update Date | 2024-03-14 |