| NPI | 1982969572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP122034) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 723746) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2020-06-09 |