NPI | 1457989121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 135543) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9223266) |
Enumeration Date | 2020-03-30 |
Last Update Date | 2022-12-28 |