| NPI | 1235706953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1046794) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 133715) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2021-09-09 |