NPI | 1487385803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MT NUR-APRN-LIC-215464) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: UT 10386667-3102) |
Enumeration Date | 2022-06-17 |
Last Update Date | 2023-05-18 |