| NPI | 1134782147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP141522) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 125892) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-05-02 |