NPI | 1487203063 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001249) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95183592) |
Enumeration Date | 2019-09-06 |
Last Update Date | 2020-02-07 |