NPI | 1881222412 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11021111) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9436287) |
367500000X Nurse Anesthetist, Certified Registered (Licence: FL 138032) | |
Enumeration Date | 2020-03-30 |
Last Update Date | 2024-06-19 |