NPI | 1124663281 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704330684) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704330684) |
Enumeration Date | 2019-11-13 |
Last Update Date | 2022-09-01 |