NPI | 1780049635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP138655) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9288002) |
Enumeration Date | 2015-12-19 |
Last Update Date | 2023-04-24 |