NPI | 1124602941 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-150265) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-150265) |
Enumeration Date | 2021-05-07 |
Last Update Date | 2021-07-28 |