NPI | 1255318655 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP104631) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 240176) |
Enumeration Date | 2005-12-27 |
Last Update Date | 2020-06-15 |