NPI | 1801436076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6790) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN713724) |
Enumeration Date | 2020-01-15 |
Last Update Date | 2024-09-25 |