NPI | 1316935679 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 461117) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 00588) |
Enumeration Date | 2005-10-11 |
Last Update Date | 2020-02-06 |