NPI | 1487342234 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 27460) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: SC 248960) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: OH 426743) | |
Enumeration Date | 2023-04-28 |
Last Update Date | 2024-04-30 |