NPI | 1992708408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP113823) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 712821) |
Enumeration Date | 2005-05-30 |
Last Update Date | 2022-09-30 |