NPI | 1811654684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704413847) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRNCRNA0020439) |
Enumeration Date | 2021-11-29 |
Last Update Date | 2024-10-15 |