NPI | 1710601414 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 33532) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 901839) |
163W00000X Registered Nurse (Licence: MS 905433) | |
Enumeration Date | 2022-09-27 |
Last Update Date | 2023-03-23 |