| NPI | 1376847681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK R0109073) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 723641) |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2016-04-05 |