| NPI | 1124427083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 10804042-4406) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 68571) |
| Enumeration Date | 2014-08-17 |
| Last Update Date | 2018-09-24 |