| NPI | 1629608021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP146170) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 929170) |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-06-18 |