NPI | 1316516297 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-155986) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 155986) |
Enumeration Date | 2021-06-23 |
Last Update Date | 2022-07-08 |