| NPI | 1154628295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP124025) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 063990-23) |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2021-11-08 |