| NPI | 1235434812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP120004) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 651269) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2020-04-27 |