| NPI | 1306496658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1168233) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 186053) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2025-04-24 |