NPI | 1619116555 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP117810) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN0000159648) |
Enumeration Date | 2009-02-17 |
Last Update Date | 2020-06-30 |