NPI | 1972101764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-118594) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 809230) |
Enumeration Date | 2020-10-13 |
Last Update Date | 2023-11-15 |