| NPI | 1851333983 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP121833)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN088600)  | 
| Enumeration Date | 2006-06-12 | 
| Last Update Date | 2018-03-17 |