| NPI | 1063127371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1107927) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000225601) |
| 207L00000X Anesthesiology (Licence: TX 142961) | |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2023-01-20 |