NPI | 1851057327 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95002326) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95037462) |
Enumeration Date | 2021-11-09 |
Last Update Date | 2024-05-01 |