| NPI | 1275047730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP136826) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 9430) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2021-09-22 |