| NPI | 1255327292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 11018) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 814592) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2023-08-13 |