NPI | 1083219562 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1031292) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL 9330877) |
Enumeration Date | 2020-12-02 |
Last Update Date | 2022-08-05 |