NPI | 1730487554 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 30313) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 635675-1) |
367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9248809) | |
Enumeration Date | 2011-03-02 |
Last Update Date | 2025-09-15 |