| NPI | 1477082964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1036353) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9325818) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2021-12-28 |