NPI | 1689214769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11005635) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9453790) |
Enumeration Date | 2020-01-07 |
Last Update Date | 2021-10-22 |