NPI | 1194112482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11038397) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704310398) |
367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN10000050) | |
Enumeration Date | 2015-04-24 |
Last Update Date | 2025-09-23 |