NPI | 1295431567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID 2161871) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN747079) |
Enumeration Date | 2023-02-07 |
Last Update Date | 2024-08-26 |