NPI | 1902804735 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP106637) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 229077) |
Enumeration Date | 2005-07-14 |
Last Update Date | 2021-06-25 |