| NPI | 1154829067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP136589) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 934428) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2022-10-04 |