NPI | 1164845749 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 100753) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 686783) |
163W00000X Registered Nurse (Licence: FL RN9203701) | |
Enumeration Date | 2014-02-02 |
Last Update Date | 2022-02-11 |