| NPI | 1538734868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1045770) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 136158) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2024-09-16 |