NPI | 1205523115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11026311) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001271992) |
367500000X Nurse Anesthetist, Certified Registered (Licence: NC 007146) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024187234) | |
Enumeration Date | 2023-04-20 |
Last Update Date | 2024-11-20 |