| NPI | 1548409493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024191982) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 696984) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP118006) | |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2025-01-08 |