NPI | 1932778818 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1035752) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1035752) |
171000000X Military Health Care Provider | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-06-23 |
Last Update Date | 2024-06-06 |