| NPI | 1770555617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 618416) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 21157) |
| Enumeration Date | 2006-02-05 |
| Last Update Date | 2024-04-15 |