| NPI | 1518356153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP127318) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 868047) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2023-04-05 |