NPI | 1588296289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 130743) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: PR 35354) |
163WG0000X Registered Nurse, General Practice (Licence: FL 9425372) | |
Enumeration Date | 2020-02-10 |
Last Update Date | 2021-08-18 |