NPI | 1295152577 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP126046) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 93301) |
163W00000X Registered Nurse (Licence: TX 878746) | |
Enumeration Date | 2014-03-24 |
Last Update Date | 2017-04-27 |