| NPI | 1366464620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 9522) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 050897) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 79059) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-06-10 |