| NPI | 1295033512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP120073) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 796209) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2022-06-04 |