| NPI | 1013373877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP130896) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R195160) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2021-11-16 |