NPI | 1245737808 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2281608) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA RN2281608) |
Enumeration Date | 2018-04-10 |
Last Update Date | 2019-08-22 |