NPI | 1669192225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001863) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 852636) |
Enumeration Date | 2022-09-01 |
Last Update Date | 2023-01-09 |