NPI | 1124603865 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2295900) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA RN2295900) |
Enumeration Date | 2021-03-15 |
Last Update Date | 2021-08-03 |