NPI | 1558042978 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11033260) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9479222) |
Enumeration Date | 2023-07-27 |
Last Update Date | 2024-10-05 |