NPI | 1326614579 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11016968) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 708507) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: MA 2338523) | |
Enumeration Date | 2021-05-28 |
Last Update Date | 2022-01-06 |