| NPI | 1750392015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 075438) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 814578) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP121714) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2021-09-16 |