NPI | 1629644760 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 64256) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R238161) |
Enumeration Date | 2021-05-30 |
Last Update Date | 2021-08-30 |