| NPI | 1275510091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP111439) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 633024) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2020-07-16 |