NPI | 1770079717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX -) |
Additional Taxonomies | 171000000X Military Health Care Provider |
163W00000X Registered Nurse (Licence: TX 889816) | |
Enumeration Date | 2018-07-02 |
Last Update Date | 2023-05-01 |