| NPI | 1912607870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1110082) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 1110082) |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-05-09 |