NPI | 1639877707 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: DC CRNA1036464) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC 1046464) |
163W00000X Registered Nurse (Licence: VA 0001287290) | |
Enumeration Date | 2023-02-20 |
Last Update Date | 2024-02-12 |