NPI | 1407458599 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 95107079) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TN 191385) |
367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95107079) | |
Enumeration Date | 2020-11-12 |
Last Update Date | 2022-05-03 |