| NPI | 1457748014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN205553) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 192315) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP129080) | |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2020-08-19 |