| NPI | 1073881942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP120800) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 727698) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2021-12-14 |