NPI | 1639724032 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 206907) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 808882) |
367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2021031893) | |
Enumeration Date | 2019-08-03 |
Last Update Date | 2023-05-16 |