| NPI | 1669764536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP135026) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 642528) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2021-12-08 |