NPI | 1952635385 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 597475) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 2262948) |
Enumeration Date | 2009-10-02 |
Last Update Date | 2019-09-18 |