NPI | 1497315105 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP141898) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 826430) |
Enumeration Date | 2019-06-14 |
Last Update Date | 2025-09-16 |