| NPI | 1598421083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1154961) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9394132) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11030644) | |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2024-03-13 |