NPI | 1376011684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11000740) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9487059) |
Enumeration Date | 2018-11-05 |
Last Update Date | 2021-10-05 |