| NPI | 1578214995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 11248132-4406) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 10029356CRNA) |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2024-10-28 |