NPI | 1609506450 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 95199485) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.1001067-CRNA) |
Enumeration Date | 2022-06-14 |
Last Update Date | 2025-08-12 |