| NPI | 1184862617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP117517) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 687098) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2018-09-18 |