NPI | 1588291165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11007196) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN9425587) |
Enumeration Date | 2020-03-24 |
Last Update Date | 2021-11-19 |