| NPI | 1205808144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30007258) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 642710) |
| Enumeration Date | 2006-02-05 |
| Last Update Date | 2014-10-21 |