NPI | 1578395315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101905) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 101905) |
163W00000X Registered Nurse (Licence: FL RN9465179) | |
Enumeration Date | 2024-08-19 |
Last Update Date | 2025-07-18 |