NPI | 1538794573 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024179350) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001250947) |
Enumeration Date | 2020-03-10 |
Last Update Date | 2022-09-22 |