NPI | 1104063593 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP117621) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 681731) |
Enumeration Date | 2009-01-07 |
Last Update Date | 2022-06-13 |