| NPI | 1164763942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 722360) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A150802) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D150802) | |
| 163W00000X Registered Nurse (Licence: CA 95064018) | |
| 163W00000X Registered Nurse (Licence: TX 722360) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 722360) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95002642) | |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2024-05-15 |