NPI | 1700660289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 140928) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN661308) |
Enumeration Date | 2023-08-24 |
Last Update Date | 2024-06-24 |