| NPI | 1376780395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1143299) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 166203) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2024-02-06 |