| NPI | 1922647247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 208892) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 765140) |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2022-07-13 |