| NPI | 1881016509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP125026) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 757590) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2020-06-17 |