| NPI | 1407357429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP137196) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: TX 815604) |
| 367H00000X Anesthesiologist Assistant (Licence: TX 119794) | |
| Enumeration Date | 2018-02-25 |
| Last Update Date | 2022-05-26 |