NPI | 1376796094 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11024973) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 563351-1) |
367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2315274) | |
Enumeration Date | 2008-10-25 |
Last Update Date | 2023-10-19 |