NPI | 1275915613 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 20440) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 82880) |
Enumeration Date | 2015-06-22 |
Last Update Date | 2022-01-25 |