NPI | 1134759285 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN634893) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 634893) |
Enumeration Date | 2020-01-16 |
Last Update Date | 2022-10-05 |