| NPI | 1023714219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC005100) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 892732) |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2024-02-14 |