NPI | 1356693949 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS A810628) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 782816) |
Enumeration Date | 2012-10-08 |
Last Update Date | 2020-08-10 |