| NPI | 1083853345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP117588) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 712453) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2022-05-31 |