NPI | 1811353493 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP130144) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 770687) |
Enumeration Date | 2016-01-12 |
Last Update Date | 2020-05-14 |