| NPI | 1659379402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP110618) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 636727) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-06-10 |