NPI | 1518480565 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9485916) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: KS 13-110258-101) |
207L00000X Anesthesiology (Licence: KS 43-557514-101) | |
Enumeration Date | 2017-07-21 |
Last Update Date | 2024-03-27 |