| NPI | 1588770507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP132788) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 1490382) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2017-01-03 |