| NPI | 1588929020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP121775) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 738572) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2015-01-09 |