| NPI | 1235387192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP117647) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 654370) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2018-06-04 |