NPI | 1184282477 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA213058) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: ME RN57915) |
Enumeration Date | 2019-05-31 |
Last Update Date | 2021-09-20 |