| NPI | 1215207428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 828628) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 104379) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2024-10-10 |