| NPI | 1710247556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP121982) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 88406) |
| Enumeration Date | 2012-05-28 |
| Last Update Date | 2023-03-10 |