NPI | 1275196065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP142047) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR R103706) |
367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209026382) | |
Enumeration Date | 2019-04-17 |
Last Update Date | 2023-02-01 |