| NPI | 1487295853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 909012) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 114801) |
| 163W00000X Registered Nurse (Licence: TX 909012) | |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2023-07-14 |