| NPI | 1104196682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP121344) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 742198) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2020-04-28 |