NPI | 1912686569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2023034485) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 896075) |
Enumeration Date | 2023-07-12 |
Last Update Date | 2025-07-09 |