| NPI | 1376698282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 218351) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 23084) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2011-12-05 |