NPI | 1629634894 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 105441) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN698636) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: WV 90072) | |
Enumeration Date | 2019-05-14 |
Last Update Date | 2020-01-22 |