| NPI | 1063057925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 145030) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 978334) |
| 163W00000X Registered Nurse (Licence: FL 9409645) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 129811) | |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2020-02-06 |