| NPI | 1629324819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP123151) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 761465) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2019-03-19 |