NPI | 1538694047 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 3069) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 213869-5) |
Enumeration Date | 2017-04-23 |
Last Update Date | 2024-12-27 |