NPI | 1083291637 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1052820) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 860986) |
Enumeration Date | 2021-03-28 |
Last Update Date | 2021-08-31 |