| NPI | 1184875817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP117653) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 541777) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 541777) | |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2023-08-28 |