| NPI | 1629537246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP141149) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 957556) |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-08-08 |