| NPI | 1992295737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP140647) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001262813) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2022-01-18 |