| NPI | 1295257897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001857) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 123567) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2023-10-23 |