NPI | 1154092591 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 10028942) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR 202109455RN) |
Enumeration Date | 2021-09-24 |
Last Update Date | 2024-09-12 |