| NPI | 1720452121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP130375) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL RN 1-129611) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN RN0000192882) | |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2016-02-29 |