NPI | 1124655030 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6394) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 131283) |
Enumeration Date | 2020-03-23 |
Last Update Date | 2025-05-22 |