NPI | 1619975448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP101864) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 542468) |
Enumeration Date | 2005-07-14 |
Last Update Date | 2021-12-09 |