NPI | 1174981278 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 700454) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN645893) |
Enumeration Date | 2016-02-03 |
Last Update Date | 2023-10-18 |