| NPI | 1366612194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 676312) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 079508) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2009-04-17 |