| NPI | 1548353998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP112459) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 630364) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 168534) | |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2020-09-17 |