| NPI | 1407362973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP136394) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 119882) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2018-02-02 |