| NPI | 1376795021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP125979) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 60145) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2020-09-22 |