| NPI | 1871985986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP128335) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 608198) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-10-26 |