| NPI | 1962515031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP110748) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 616796) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-06-15 |