| NPI | 1376114900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1109019) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9462300) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2023-01-26 |