NPI | 1073920120 |
---|---|
Former Name | YVETTE RICKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP125750) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 740011) |
Enumeration Date | 2014-07-21 |
Last Update Date | 2020-06-18 |