NPI | 1629425368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R231758) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 22649558) |
Enumeration Date | 2016-05-23 |
Last Update Date | 2023-11-09 |