| NPI | 1104877570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP118160) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN APN 10901) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 127445) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2022-06-24 |