NPI | 1760463228 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1033522) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28146064) |
Enumeration Date | 2005-11-10 |
Last Update Date | 2022-02-06 |