NPI | 1760806921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC002106) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD AC002106) |
163W00000X Registered Nurse (Licence: VA 0001250488) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024171950) | |
Enumeration Date | 2014-02-08 |
Last Update Date | 2023-12-15 |