NPI | 1124646872 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001876) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 844397) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 683820) | |
Enumeration Date | 2020-07-09 |
Last Update Date | 2022-11-07 |