NPI | 1114362951 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP123803) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 727682) |
163W00000X Registered Nurse (Licence: TX 727682) | |
Enumeration Date | 2013-05-07 |
Last Update Date | 2023-07-28 |