| NPI | 1669813465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP136546) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 671632) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2021-06-16 |