NPI | 1427639194 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1041938) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D163522) |
Enumeration Date | 2021-04-15 |
Last Update Date | 2023-12-07 |