| NPI | 1275915613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 20440) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 82880) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2022-01-25 |