| NPI | 1538586599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP130213) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 181434) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2020-07-22 |