NPI | 1699436931 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1190711) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: GA RN277836) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-01-09 |
Last Update Date | 2025-03-26 |