| NPI | 1144632639 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP144221)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 981558)  | 
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 102544)  | |
| Enumeration Date | 2014-06-02 | 
| Last Update Date | 2020-01-13 |