NPI | 1992078414 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 678577) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 678577) |
Enumeration Date | 2012-02-14 |
Last Update Date | 2016-05-04 |