NPI | 1740859545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 137494) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-162708) |
Enumeration Date | 2021-06-24 |
Last Update Date | 2022-07-04 |