| NPI | 1235705856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1030803) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 132284) |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2023-10-11 |