NPI | 1184006603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2366938) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN204816) |
Enumeration Date | 2015-06-20 |
Last Update Date | 2025-03-11 |