NPI | 1396145074 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 572727) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 572727) |
163W00000X Registered Nurse (Licence: MA RN2292986) | |
Enumeration Date | 2014-08-29 |
Last Update Date | 2024-02-06 |