| NPI | 1811353493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP130144) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 770687) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2020-05-14 |