NPI | 1487110565 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0001332823) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 261221) |
367500000X Nurse Anesthetist, Certified Registered (Licence: NC 126325) | |
Enumeration Date | 2019-02-14 |
Last Update Date | 2024-11-18 |