NPI | 1063980951 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP138349) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 854912) |
Enumeration Date | 2018-11-08 |
Last Update Date | 2023-09-09 |