| NPI | 1184601296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP112225) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 585968) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2021-06-29 |