NPI | 1124391578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP125688) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 783603) |
Enumeration Date | 2012-02-15 |
Last Update Date | 2021-02-05 |