NPI | 1679218960 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1094667) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 848907) |
Enumeration Date | 2022-05-01 |
Last Update Date | 2023-01-03 |