| NPI | 1770038812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP133032) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP133032) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 812581) | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2020-04-28 |