NPI | 1871643296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP115515) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 679563) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2020-07-10 |