| NPI | 1780087247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP142448) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 6024) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2023-06-13 |