| NPI | 1396298998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP133075) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 755197) |
| 163W00000X Registered Nurse (Licence: CO 202562) | |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2020-12-01 |