NPI | 1205336484 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VT 101.0134316) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 7600453-3102) |
207L00000X Anesthesiology (Licence: NM CRNA-01526) | |
Enumeration Date | 2018-02-14 |
Last Update Date | 2024-10-23 |