NPI | 1811210065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1041565) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 83038) |
367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2010005607) | |
Enumeration Date | 2010-03-02 |
Last Update Date | 2022-07-26 |