NPI | 1598561276 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VT 101.0137975) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2017001287) |
Enumeration Date | 2025-02-22 |
Last Update Date | 2025-09-11 |