NPI | 1508439084 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11017157) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL rn940215) |
Enumeration Date | 2021-07-21 |
Last Update Date | 2023-05-10 |