| NPI | 1740607563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP125002) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 847884) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2019-10-08 |