| NPI | 1467896720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101325) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 843825) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2017-08-07 |