| NPI | 1104172808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 625752) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 625752) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2023-10-25 |