| NPI | 1609804467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP103210) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 240922) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2016-10-18 |