| NPI | 1265415319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 581155) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 50008) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2011-09-21 |