| NPI | 1568549244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP114907) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 677250) |
| 163W00000X Registered Nurse (Licence: TX 677250) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-01-30 |