| NPI | 1417902628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP141912) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA APO3187) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-04-27 |