NPI | 1245900182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3018922) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN259090) |
Enumeration Date | 2021-09-13 |
Last Update Date | 2023-02-01 |