NPI | 1194999623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP130911) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 13-70969-042) |
Enumeration Date | 2008-04-16 |
Last Update Date | 2022-07-15 |