| NPI | 1093185381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1093380) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 20272) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024174943) | |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2022-10-18 |