NPI | 1407428147 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61319213) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 4017345) |
163W00000X Registered Nurse (Licence: MD R244480) | |
Enumeration Date | 2021-07-13 |
Last Update Date | 2024-03-26 |