NPI | 1679047724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP141228) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 957447) |
Enumeration Date | 2019-01-11 |
Last Update Date | 2020-09-18 |