NPI | 1619373743 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 691714) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22 691714) |
Enumeration Date | 2014-11-18 |
Last Update Date | 2023-11-08 |