| NPI | 1104161033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP128043) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI 49304) |
| 163W00000X Registered Nurse (Licence: MA 2271796) | |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2018-04-26 |