NPI | 1114216207 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP123949) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 741434) |
Enumeration Date | 2011-03-30 |
Last Update Date | 2022-07-21 |