NPI | 1114364221 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP124261) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9317555) |
Enumeration Date | 2013-05-30 |
Last Update Date | 2018-08-10 |