| NPI | 1306270632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP124194) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 841377) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2022-11-09 |