NPI | 1396094561 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP123090) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 750845) |
Enumeration Date | 2012-09-04 |
Last Update Date | 2023-03-10 |