| NPI | 1700376589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP140490) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001268131) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 282881) | |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2024-01-26 |