NPI | 1629775689 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11026809) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9478859) |
367500000X Nurse Anesthetist, Certified Registered (Licence: NH EL32916) | |
Enumeration Date | 2023-02-10 |
Last Update Date | 2025-08-06 |