| NPI | 1053558551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP117592) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 685451) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2019-11-22 |