NPI | 1720788367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 3195) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9425062) |
Enumeration Date | 2023-03-02 |
Last Update Date | 2025-09-30 |