| NPI | 1063859213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX C002964) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R071331) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C002964) | |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-09-04 |