NPI | 1912530288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1101543) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 281405) |
Enumeration Date | 2020-02-14 |
Last Update Date | 2023-04-27 |