| NPI | 1407198419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP123493) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 2341) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SD R036140) | |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2022-02-10 |