| NPI | 1861432536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP114657) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX 072563) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 612981) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-11-06 |