| NPI | 1124203138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP116500) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 646801) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2020-09-18 |