NPI | 1043798192 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1009271) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2018025162) |
Enumeration Date | 2018-07-31 |
Last Update Date | 2024-02-19 |