NPI | 1003342163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP134504) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 919145) |
163W00000X Registered Nurse (Licence: LA 136236) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: LA 214809) | |
Enumeration Date | 2017-05-11 |
Last Update Date | 2024-04-01 |