NPI | 1023204609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP115886) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 685125) |
Enumeration Date | 2007-09-18 |
Last Update Date | 2018-08-23 |