| NPI | 1770059677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP140152) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 839805) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2019-02-03 |