| NPI | 1861949976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP139222) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 94149) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2023-04-28 |