NPI | 1124469549 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 101125) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: VA 0001196447) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 534361-1) | |
Enumeration Date | 2013-07-14 |
Last Update Date | 2020-10-27 |