| NPI | 1194999623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP130911) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 13-70969-042) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2022-07-15 |