| NPI | 1972807691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP119821) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 717399) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2020-12-02 |