NPI | 1396374914 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 782570) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 239362) |
Enumeration Date | 2020-04-06 |
Last Update Date | 2020-08-04 |