| NPI | 1386157493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP136260) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R093748) |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2018-07-05 |