NPI | 1932704590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11011141) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9333233) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: FL RN9333233) | |
Enumeration Date | 2020-12-02 |
Last Update Date | 2021-02-16 |