| NPI | 1336750165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 869731) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 230762) |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2025-01-03 |