NPI | 1619288487 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MT NUR-APRN-LIC-101159) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 083573) |
Enumeration Date | 2010-06-28 |
Last Update Date | 2023-03-14 |