NPI | 1225792195 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2337302) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 717928) |
Enumeration Date | 2021-10-27 |
Last Update Date | 2025-05-28 |