NPI | 1457021651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0200X Registered Nurse Critical Care Medicine (Licence: TX 906942) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 25721) |
Enumeration Date | 2021-09-18 |
Last Update Date | 2022-08-17 |