NPI | 1770298069 |
---|---|
Former Name | CHRISTY EDITH LIBSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1111269) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 141162) |
Enumeration Date | 2023-01-20 |
Last Update Date | 2024-03-22 |