NPI | 1407318140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 47465) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MO 2017024751) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 18346151218) | |
Enumeration Date | 2019-04-02 |
Last Update Date | 2023-01-11 |