NPI | 1669090320 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 2000123320) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 143709) |
Enumeration Date | 2020-07-09 |
Last Update Date | 2022-12-08 |