| NPI | 1497138754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP138717) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 103686) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2018-10-02 |