NPI | 1235677352 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209020957) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP133195) |
Enumeration Date | 2017-02-09 |
Last Update Date | 2020-04-07 |