| NPI | 1386915775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP121412) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 811243) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2017-02-20 |