| NPI | 1316368129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP125016) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 750298) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 750298) | |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2022-06-24 |