NPI | 1083237945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1010029) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 859460) |
Enumeration Date | 2020-05-26 |
Last Update Date | 2023-09-28 |