| NPI | 1063180552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1152573) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 243991) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2024-03-07 |