| NPI | 1265672653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 708670) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR c02743) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2015-09-29 |