| NPI | 1104255801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP124839) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 741411) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 104047) | |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2022-08-11 |