| NPI | 1891176152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1018282) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 222282-30) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2022-04-27 |