| NPI | 1457094328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 786794) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1094911) |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2022-09-22 |