NPI | 1043516123 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 798366) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9284048) |
Enumeration Date | 2011-02-07 |
Last Update Date | 2011-09-09 |