NPI | 1639762255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024180926) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61476283) |
367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA243004) | |
Enumeration Date | 2021-02-15 |
Last Update Date | 2024-08-03 |