NPI | 1386150076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 80409) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN-85664) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NM CNP-03492) | |
Enumeration Date | 2017-12-18 |
Last Update Date | 2024-08-23 |