NPI | 1184396855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0997323-CRNA) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 244750) |
Enumeration Date | 2021-10-01 |
Last Update Date | 2022-02-08 |