NPI | 1235836289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA rn686398) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA rn686398) |
Enumeration Date | 2023-02-09 |
Last Update Date | 2025-06-06 |