| NPI | 1700114394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 713482) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 713482) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2014-03-21 |