NPI | 1235645011 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA RN218091) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN218091) |
Enumeration Date | 2017-12-15 |
Last Update Date | 2022-10-27 |