| NPI | 1003344623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP134041) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 106984) |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2019-03-04 |