NPI | 1417314022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 5595) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 265920) |
367500000X Nurse Anesthetist, Certified Registered (Licence: SC APRN 20064) | |
Enumeration Date | 2016-01-27 |
Last Update Date | 2025-07-15 |