NPI | 1578228730 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP1066059) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 832001) |
Enumeration Date | 2021-11-03 |
Last Update Date | 2022-03-09 |