| NPI | 1790289189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP139816) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 955988) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2020-09-23 |