NPI | 1689239188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2306273) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2306273) |
Enumeration Date | 2019-05-09 |
Last Update Date | 2021-06-24 |