NPI | 1649842626 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704304330) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704304330) |
Enumeration Date | 2021-07-11 |
Last Update Date | 2023-12-14 |