NPI | 1659354025 |
---|---|
Former Name | KAREN RUTH MIRELES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP111339) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 53355) |
Enumeration Date | 2005-11-21 |
Last Update Date | 2017-03-20 |