NPI | 1821053968 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA MA2370709) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R1279021) |
Enumeration Date | 2006-04-20 |
Last Update Date | 2025-05-19 |