NPI | 1417642034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 788847) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VT 101.0136409) |
Enumeration Date | 2023-04-10 |
Last Update Date | 2023-09-07 |