NPI | 1679086854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP136221) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 818817) |
Enumeration Date | 2017-11-10 |
Last Update Date | 2021-07-20 |