NPI | 1023451812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX R082338) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R082338) |
Enumeration Date | 2013-04-10 |
Last Update Date | 2018-06-20 |