NPI | 1689374308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 36120) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 96437) |
Enumeration Date | 2023-03-09 |
Last Update Date | 2025-01-20 |