| NPI | 1861477952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP109119) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 049691) |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2020-07-13 |