| NPI | 1487959680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP120988) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 778805) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2020-04-14 |