NPI | 1659052876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95002168) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95121003) |
Enumeration Date | 2023-07-31 |
Last Update Date | 2024-05-07 |