NPI | 1154690329 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 88325) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 651902-1) |
Enumeration Date | 2011-12-17 |
Last Update Date | 2024-02-21 |