NPI | 1710653423 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 35538) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000229139) |
Enumeration Date | 2021-08-22 |
Last Update Date | 2024-02-07 |