NPI | 1154719417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP127240) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 712962) |
Enumeration Date | 2015-01-08 |
Last Update Date | 2022-07-26 |