NPI | 1417571134 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL RN9384252) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9384252) |
367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11007212) | |
Enumeration Date | 2020-05-29 |
Last Update Date | 2024-04-22 |