NPI | 1942784897 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA RN214385) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA RN214385) |
367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3017855) | |
Enumeration Date | 2018-09-17 |
Last Update Date | 2022-12-28 |