| NPI | 1811080625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP110950) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 677223) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-04-27 |