NPI | 1467758359 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP143466) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 199775) |
367500000X Nurse Anesthetist, Certified Registered (Licence: NH 076591-23) | |
Enumeration Date | 2011-02-10 |
Last Update Date | 2022-03-26 |