| NPI | 1356883466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001895) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132500) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2023-08-21 |