NPI | 1245672005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1059334) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP 9316627) |
367500000X Nurse Anesthetist, Certified Registered (Licence: NY 608324-1) | |
Enumeration Date | 2013-07-22 |
Last Update Date | 2022-12-13 |