NPI | 1265050603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 4000482) |
Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: NY 717105) |
Enumeration Date | 2020-07-13 |
Last Update Date | 2024-06-17 |