NPI | 1053015990 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1139947) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11025453) |
Enumeration Date | 2023-03-27 |
Last Update Date | 2025-09-03 |