NPI | 1992264543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 202210113CRNA-PP) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R238136) |
Enumeration Date | 2019-03-13 |
Last Update Date | 2024-01-09 |