NPI | 1457940116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11011181) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9392677) |
Enumeration Date | 2021-01-15 |
Last Update Date | 2021-02-02 |