NPI | 1386166254 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001121) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95185511) |
Enumeration Date | 2017-07-12 |
Last Update Date | 2025-01-31 |