NPI | 1366196511 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001792) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95102769) |
Enumeration Date | 2022-02-07 |
Last Update Date | 2022-09-20 |