| NPI | 1306386370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP133130) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 784301) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2020-08-26 |