NPI | 1669035200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP144442) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000221514) |
Enumeration Date | 2019-04-18 |
Last Update Date | 2020-01-28 |