NPI | 1699383760 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 137404) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MA RN2319417) |
Enumeration Date | 2020-07-15 |
Last Update Date | 2022-06-02 |