| NPI | 1962733477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP118687) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 502347) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2023-12-06 |