| NPI | 1548639107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP129969) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 840469) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2016-01-26 |