| NPI | 1568113462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1068240) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 136054) |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-03-11 |