| NPI | 1457524530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP116865) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 746675) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 079620) | |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2020-07-21 |