NPI | 1760079727 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1026896) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 881802) |
Enumeration Date | 2020-12-24 |
Last Update Date | 2022-02-12 |