NPI | 1285255158 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11007078) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9407640) |
Enumeration Date | 2020-05-02 |
Last Update Date | 2020-05-12 |