| NPI | 1962874784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP131748) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 884919) |
| 163W00000X Registered Nurse (Licence: PA RN601260) | |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2022-07-29 |