NPI | 1578398541 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI J2500119401102) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WI 251606) |
Enumeration Date | 2024-09-07 |
Last Update Date | 2024-09-07 |