NPI | 1790143139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP 9312264) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1217) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-01-31 |
Last Update Date | 2025-08-11 |