NPI | 1467134510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95002453) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95168003) |
Enumeration Date | 2023-08-07 |
Last Update Date | 2025-01-08 |