| NPI | 1679547459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 9880) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP120855) |
| 367H00000X Anesthesiologist Assistant (Licence: TN APN9880) | |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2023-01-06 |