NPI | 1861840779 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN564999) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 94031) |
Enumeration Date | 2016-06-01 |
Last Update Date | 2023-09-28 |