| NPI | 1639174188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP107049) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR C01172) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 26346) | |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2023-02-03 |