NPI | 1386315471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1108304) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 909782) |
Enumeration Date | 2021-09-28 |
Last Update Date | 2023-03-22 |