NPI | 1053385823 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP119481) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 280657) |
Enumeration Date | 2006-02-16 |
Last Update Date | 2023-09-07 |