| NPI | 1891209441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1044459) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 23700) |
| Enumeration Date | 2017-11-18 |
| Last Update Date | 2021-11-04 |