NPI | 1194396796 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61327724) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NE 74209) |
Enumeration Date | 2021-07-05 |
Last Update Date | 2023-05-31 |