| NPI | 1023386778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2012020017) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 588012) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2012-10-10 |