| NPI | 1770012494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP136456) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: TX 780403) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2022-05-04 |