| NPI | 1356762728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 742739) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 100315) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 742739) | |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2016-11-03 |