NPI | 1245856103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN210313) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1086323) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: GA RN210313) | |
Enumeration Date | 2020-06-17 |
Last Update Date | 2024-02-15 |