NPI | 1518140847 |
---|---|
Former Name | BETH WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP116609) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 644299) |
Enumeration Date | 2007-12-10 |
Last Update Date | 2020-09-22 |