NPI | 1467080440 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11007921) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9392395) |
Enumeration Date | 2020-03-27 |
Last Update Date | 2021-12-21 |