| NPI | 1093761348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 628378) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R171086-5) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2012-11-05 |