| NPI | 1962480988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX RN658675) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 658675) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2018-10-10 |