| NPI | 1073236840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1096248) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 138267) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2022-11-28 |