NPI | 1215413067 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95002362) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95370913) |
163W00000X Registered Nurse (Licence: NY 576394-1) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: NY 123656) | |
Enumeration Date | 2018-07-16 |
Last Update Date | 2025-01-23 |