NPI | 1154056034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-558124-071) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2023025911) | |
Enumeration Date | 2022-07-23 |
Last Update Date | 2023-07-25 |