| NPI | 1356693949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS A810628) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 782816) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2020-08-10 |