| NPI | 1750949517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP142532) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL student) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2020-05-21 |