NPI | 1972189272 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 10802-33) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 161567) |
Enumeration Date | 2021-03-18 |
Last Update Date | 2021-04-12 |