| NPI | 1669035200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP144442) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000221514) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2020-01-28 |