NPI | 1235622572 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN665982) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 689331) |
367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ15018400) | |
Enumeration Date | 2018-06-12 |
Last Update Date | 2024-08-27 |