NPI | 1679113724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 141189) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 351986) |
163W00000X Registered Nurse (Licence: PA 706652) | |
Enumeration Date | 2020-01-07 |
Last Update Date | 2024-10-24 |