NPI | 1265186324 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024189103) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL CRNA9294348) |
Enumeration Date | 2022-02-08 |
Last Update Date | 2024-04-29 |