NPI | 1700498698 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1136805) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95073525) |
163W00000X Registered Nurse (Licence: AZ 256741) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 256741) | |
Enumeration Date | 2020-08-20 |
Last Update Date | 2025-08-14 |