NPI | 1851021067 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1090555) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 160565) |
Enumeration Date | 2022-06-13 |
Last Update Date | 2023-01-06 |