| NPI | 1285805457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP116756) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 079448) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2022-08-16 |