NPI | 1770007080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1169377) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9364032) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN9364032) | |
Enumeration Date | 2017-07-28 |
Last Update Date | 2025-03-05 |