NPI | 1215657820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704324936) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NV 887917) |
Enumeration Date | 2022-09-01 |
Last Update Date | 2025-09-23 |