| NPI | 1124495684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP130095) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 795828) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2016-01-26 |