NPI | 1780254482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95002074) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95118083) |
Enumeration Date | 2021-06-25 |
Last Update Date | 2024-09-15 |