| NPI | 1821305517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP138029) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R190306) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2019-06-24 |