| NPI | 1477036572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1047221) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 53964) |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2022-11-07 |