| NPI | 1568407195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP114466) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 073411) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-06-11 |