| NPI | 1952383515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP105935) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 33500) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2020-09-21 |