| NPI | 1457836132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP140747) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL RN9398742) |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2019-08-19 |