| NPI | 1972582443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP111726) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 596163) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2021-06-02 |