| NPI | 1497729461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704263809) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 561897) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2019-03-08 |