| NPI | 1265024368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1046521) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 230697) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: GA GAA-CRNA001152) | |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2023-05-12 |