| NPI | 1124485511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP130096) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 767489) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2021-07-01 |