| NPI | 1598418899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1089179) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 102817) |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2023-04-18 |