| NPI | 1205892643 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX RN550731) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP104003) | 
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 550731) | |
| Enumeration Date | 2006-04-25 | 
| Last Update Date | 2018-08-21 |