NPI | 1508500158 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 0997641-CRNA) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1639123) |
Enumeration Date | 2022-04-20 |
Last Update Date | 2022-06-14 |