NPI | 1487112884 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 56703) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD rn-r228298) |
Enumeration Date | 2019-03-05 |
Last Update Date | 2023-09-07 |