| NPI | 1134107626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP102650) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 455161) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2021-12-01 |