NPI | 1861639379 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 687374) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 687374) |
Enumeration Date | 2009-01-21 |
Last Update Date | 2011-09-23 |