NPI | 1972089407 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP140075) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 956543) |
Enumeration Date | 2018-07-18 |
Last Update Date | 2020-09-23 |