NPI | 1215601703 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R187364) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 00241182482) |
Enumeration Date | 2021-08-06 |
Last Update Date | 2025-01-06 |