| NPI | 1679111702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP144730) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 794301) |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2020-02-03 |