NPI | 1639809429 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: DC CRNA1062485) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1062485) |
Enumeration Date | 2022-06-14 |
Last Update Date | 2024-07-08 |