| NPI | 1881963429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372500000X Chore Provider (Licence: TX AP121377) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 696425) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2020-06-15 |