NPI | 1679238745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001685) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95057197) |
Enumeration Date | 2021-11-03 |
Last Update Date | 2022-02-11 |