NPI | 1710444260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 130323) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2265564) |
Enumeration Date | 2019-02-20 |
Last Update Date | 2020-11-02 |