| NPI | 1215918370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP108879) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 644585) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2018-08-13 |