NPI | 1588002802 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NV CRNA000424) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP136191) |
Enumeration Date | 2013-06-08 |
Last Update Date | 2019-10-18 |