NPI | 1235882002 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11019684) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9385535) |
Enumeration Date | 2022-02-01 |
Last Update Date | 2022-06-07 |