| NPI | 1194383190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP142589) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 126870) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2023-05-01 |