NPI | 1104938661 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP101667) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 503481) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2022-07-08 |