| NPI | 1154675320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024172885) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 660728) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2018-04-13 |