NPI | 1609289958 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11019247) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 219340) |
367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1233) | |
Enumeration Date | 2014-06-04 |
Last Update Date | 2022-08-22 |