| NPI | 1154304525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP107699) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 47537) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2020-09-23 |