NPI | 1558933473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 146749) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704369255) |
Enumeration Date | 2021-07-12 |
Last Update Date | 2023-11-14 |