| NPI | 1265983019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 63612) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 744598) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP132912) | |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2021-06-23 |