| NPI | 1902804735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP106637) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 229077) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2021-06-25 |