| NPI | 1376829150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI AP121502) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 742900) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2024-12-02 |