| NPI | 1407276512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 100432) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 720085) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-06-19 |