| NPI | 1457999112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1072594) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 676609) |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2022-11-04 |