| NPI | 1831497635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 119962) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 748082) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2022-06-08 |