NPI | 1437672888 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME160788) |
Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: IA R-10773) |
2085R0202X Radiology, Diagnostic Radiology (Licence: NY 311191) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: NY 311191) | |
Enumeration Date | 2017-07-18 |
Last Update Date | 2023-07-07 |