NPI | 1629744255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IA 150501) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 35468) |
Enumeration Date | 2021-08-23 |
Last Update Date | 2024-11-07 |