NPI | 1770172942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11010935) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11010935) |
Enumeration Date | 2021-01-13 |
Last Update Date | 2023-11-22 |