| NPI | 1811979594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP112826) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 71586) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2021-01-05 |