| NPI | 1396083556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP130750) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 17291) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2024-01-17 |