| NPI | 1609435874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1048073) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MA RN2323700) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MO 2014021583) | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2021-10-25 |