NPI | 1831618594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 202000077CRNA) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201703087RN) |
Enumeration Date | 2017-09-14 |
Last Update Date | 2020-03-13 |