| NPI | 1447622949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS R890107) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 130535) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP130535) | |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2021-09-03 |