NPI | 1235705856 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1030803) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 132284) |
Enumeration Date | 2021-06-03 |
Last Update Date | 2023-10-11 |