NPI | 1164962478 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9439202) |
Additional Taxonomies | 171000000X Military Health Care Provider |
Enumeration Date | 2017-03-06 |
Last Update Date | 2023-07-11 |