| NPI | 1134595309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 242T00000X Perfusionist (Licence: TX PF1087) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 658084) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |