| NPI | 1699339754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1047269) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR r104728) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2019022245) | |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2023-08-31 |