| NPI | 1053385823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP119481) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 280657) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2023-09-07 |