| NPI | 1922687011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1126731) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9624744) |
| 163W00000X Registered Nurse (Licence: GA RN269205) | |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2023-06-22 |