NPI | 1285055384 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95002164) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 635730-1) |
Enumeration Date | 2013-12-17 |
Last Update Date | 2024-10-04 |