NPI | 1659886208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R222723) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1073333) |
Enumeration Date | 2017-12-05 |
Last Update Date | 2022-07-20 |