| NPI | 1578986998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP125283) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 100071) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2017-02-27 |