| NPI | 1699543819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1148775) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX TEMPRC) |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2024-04-02 |