| NPI | 1578582540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP100816) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 524010) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2022-11-04 |