| NPI | 1821518390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP134519) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 112125) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2019-10-18 |