NPI | 1720088727 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 045099 AANA) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 740522) |
Enumeration Date | 2005-08-01 |
Last Update Date | 2015-02-18 |