NPI | 1609143296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP133886) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 961457) |
367500000X Nurse Anesthetist, Certified Registered (Licence: MD R183970) | |
163W00000X Registered Nurse (Licence: MD R183970) | |
Enumeration Date | 2011-11-26 |
Last Update Date | 2023-12-07 |