NPI | 1790379857 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1191824) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 958667) |
Enumeration Date | 2021-03-01 |
Last Update Date | 2025-03-26 |