NPI | 1124689468 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11007464) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9294337) |
Enumeration Date | 2019-06-26 |
Last Update Date | 2021-11-24 |