NPI | 1881224434 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2307728) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA RN2307728) |
Enumeration Date | 2020-01-23 |
Last Update Date | 2021-09-21 |