| NPI | 1962824540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1097202) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: VA 0024171347) |
| 163W00000X Registered Nurse (Licence: TX 781986) | |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2023-08-22 |