NPI | 1194603233 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 155580) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4045582) |
Enumeration Date | 2025-08-26 |
Last Update Date | 2025-08-26 |