NPI | 1720568868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 24678) |
Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: TN 202422) |
Enumeration Date | 2018-08-17 |
Last Update Date | 2018-09-25 |