| NPI | 1346596004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP121986) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 688790) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2016-09-20 |