NPI | 1730660804 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024177251) |
Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: VA 0001248960) |
Enumeration Date | 2018-08-27 |
Last Update Date | 2019-01-31 |