NPI | 1376730937 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 233172) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 2554) |
Enumeration Date | 2007-09-27 |
Last Update Date | 2017-01-11 |