NPI | 1558828061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN111017111) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9295743) |
367500000X Nurse Anesthetist, Certified Registered (Licence: FL 136760) | |
Enumeration Date | 2019-02-21 |
Last Update Date | 2025-02-20 |