| NPI | 1366008096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP142333) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 841203) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 841203) | |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2023-03-02 |