| NPI | 1568630002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP120565) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 801061) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2020-10-30 |