NPI | 1730537515 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 76943) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: ME 67377) |
Enumeration Date | 2016-06-02 |
Last Update Date | 2024-08-23 |