NPI | 1598055220 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 905309) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 467970) |
Enumeration Date | 2011-04-14 |
Last Update Date | 2019-01-10 |