| NPI | 1477920874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP138914) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 647423) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2019-08-14 |