NPI | 1871199265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VT 101.0135133) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001270726) |
Enumeration Date | 2020-12-10 |
Last Update Date | 2022-02-23 |