| NPI | 1174661201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP116148) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 743099) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-06-29 |