NPI | 1699430678 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001723) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN651156) |
Enumeration Date | 2021-11-03 |
Last Update Date | 2022-04-29 |