NPI | 1639612096 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP 9440334) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL R9440334) |
163W00000X Registered Nurse (Licence: VA 0001228008) | |
Enumeration Date | 2016-12-02 |
Last Update Date | 2023-03-10 |