NPI | 1700355781 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP140284) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 947776) |
Enumeration Date | 2018-11-19 |
Last Update Date | 2021-06-28 |