| NPI | 1013973486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 678752) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 369104) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-11-23 |