NPI | 1215377627 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 3099) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2450881) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: AZ RN180360) | |
Enumeration Date | 2013-06-29 |
Last Update Date | 2025-02-24 |