| NPI | 1396733374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP110925) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 051925) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2022-08-11 |