NPI | 1912596586 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2021003723) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 131157) |
Enumeration Date | 2021-01-18 |
Last Update Date | 2022-09-15 |