| NPI | 1093260911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 81949) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 110237) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2017-04-27 |