NPI | 1578535415 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP103973) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 250330) |
Enumeration Date | 2006-02-05 |
Last Update Date | 2020-11-06 |