NPI | 1275170920 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704297462) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704297462) |
Enumeration Date | 2019-12-02 |
Last Update Date | 2021-04-12 |