| NPI | 1407058753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP116054) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9229246) |
| 163W00000X Registered Nurse (Licence: TX 741809) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2023-05-10 |