| NPI | 1669402814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP112791) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 700902) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2017-03-20 |