| NPI | 1215041710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN104087) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 576561) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN000009970) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2022-07-08 |