| NPI | 1083702096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP114698) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 657326) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2021-12-20 |