NPI | 1770055279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS NOWE-43CHVU) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 897105) |
Enumeration Date | 2018-12-20 |
Last Update Date | 2021-06-29 |