| NPI | 1356129738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1138188) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R101443) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2024-01-11 |