| NPI | 1962504530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 243417) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 036392) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2018-06-11 |