| NPI | 1639644206 |
|---|---|
| Former Name | CARSON MARIE ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP140506) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 857762) |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2020-09-09 |