NPI | 1245729078 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 645440) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 645440-1) |
Enumeration Date | 2018-05-07 |
Last Update Date | 2022-07-21 |