| NPI | 1265754006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP132963) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 084288) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2017-03-09 |