NPI | 1003370909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP140742) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 124450) |
Enumeration Date | 2019-01-24 |
Last Update Date | 2019-02-21 |