NPI | 1841969102 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3018817) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 245772) |
Enumeration Date | 2021-09-09 |
Last Update Date | 2023-01-09 |