NPI | 1922743038 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 209347) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2019033957) |
Enumeration Date | 2022-05-03 |
Last Update Date | 2022-07-25 |