NPI | 1720505589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 10029132) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 471911) |
367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1066760) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: OH 020058) | |
Enumeration Date | 2017-08-23 |
Last Update Date | 2024-11-13 |