NPI | 1053726471 |
---|---|
Former Name | CAROLYN RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1042504) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-557269-092) |
Enumeration Date | 2014-06-24 |
Last Update Date | 2024-12-05 |