NPI | 1578253159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 16316) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95002122) |
Enumeration Date | 2023-05-09 |
Last Update Date | 2025-01-08 |