| NPI | 1104996016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP130620) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 180161) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2019-08-07 |