| NPI | 1205420791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 218718) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1020778) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1020778) | |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2024-07-09 |