| NPI | 1942511860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP119225) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 083053) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2020-04-28 |