| NPI | 1407912397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP115548) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 663073) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2022-08-05 |