NPI | 1982284543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11026466) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9478635) |
Enumeration Date | 2021-04-08 |
Last Update Date | 2023-07-18 |