| NPI | 1063743441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP118780) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 778890) |
| 163W00000X Registered Nurse (Licence: MI 4704256988) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704256988) | |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2019-10-23 |