| NPI | 1629324082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP126394) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 693191) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 4317) | |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2020-09-23 |