NPI | 1477163749 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1026740) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 865513) |
Enumeration Date | 2020-08-03 |
Last Update Date | 2021-01-28 |