| NPI | 1316219835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP121445) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 810168) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2020-09-23 |