NPI | 1225666977 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN678983) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R192424) |
Enumeration Date | 2020-03-30 |
Last Update Date | 2022-10-18 |