| NPI | 1770050304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1101636) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 902663) |
| 163W00000X Registered Nurse (Licence: LA RN142282) | |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2023-04-11 |