NPI | 1215639398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 12081) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 169184) |
163W00000X Registered Nurse (Licence: NY 734250) | |
Enumeration Date | 2023-03-21 |
Last Update Date | 2023-11-01 |