| NPI | 1073835401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60500068) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 777411) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2019-05-02 |