| NPI | 1669911848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP133343) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 14788-33) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2024-03-08 |