| NPI | 1013202555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 101529) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 15185) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 728655) | |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2024-04-25 |