| NPI | 1770643330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP105386) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: TX 44450 CRNA) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2016-08-29 |