NPI | 1356911879 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 143361) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-152187) |
Enumeration Date | 2021-06-28 |
Last Update Date | 2023-09-23 |