| NPI | 1891932984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP117782) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 706049) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2020-09-02 |