NPI | 1346635737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 7026) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9341023) |
367500000X Nurse Anesthetist, Certified Registered (Licence: SC 24076) | |
Enumeration Date | 2015-04-02 |
Last Update Date | 2022-11-15 |