| NPI | 1417386251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000082) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 760435) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2015-06-03 |