NPI | 1073597811 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 587453) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN-302539-L) |
Enumeration Date | 2005-12-05 |
Last Update Date | 2007-07-08 |