NPI | 1841837853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11019889) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN686710) |
367500000X Nurse Anesthetist, Certified Registered (Licence: TN 29237) | |
Enumeration Date | 2019-12-09 |
Last Update Date | 2023-12-18 |