| NPI | 1760493449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP114499) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 536610) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2019-09-11 |