| NPI | 1679131650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP142348) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 819085) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2024-03-04 |