NPI | 1407609605 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN753765) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN753765) |
Enumeration Date | 2024-04-08 |
Last Update Date | 2024-04-08 |