| NPI | 1669972436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP137372) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 845990) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NM CRNA-01542) | |
| Enumeration Date | 2018-02-17 |
| Last Update Date | 2021-11-19 |