NPI | 1548824618 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11002904) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024187197) |
163W00000X Registered Nurse (Licence: FL RN9346014) | |
Enumeration Date | 2019-04-24 |
Last Update Date | 2023-06-04 |