| NPI | 1578923686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP129964) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 77084) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2022-07-05 |