NPI | 1417257171 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 86162) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP119855) |
163W00000X Registered Nurse (Licence: TX RN723835) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: TX 723835) | |
Enumeration Date | 2010-10-28 |
Last Update Date | 2018-09-21 |