| NPI | 1003147786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP118689) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 746599) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2020-06-30 |