NPI | 1871138990 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001258) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 753195) |
Enumeration Date | 2019-11-12 |
Last Update Date | 2022-04-04 |