| NPI | 1700865813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP121103) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 181999) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA4104) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2022-11-10 |