NPI | 1164036869 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001419) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AZ RN191960) |
Enumeration Date | 2020-09-01 |
Last Update Date | 2021-08-19 |