NPI | 1174661201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP116148) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 743099) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2020-06-29 |