NPI | 1073055059 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP117593) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95112644) |
367500000X Nurse Anesthetist, Certified Registered (Licence: MN R217265-1) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000645) | |
Enumeration Date | 2016-11-08 |
Last Update Date | 2020-08-19 |