| NPI | 1508886193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0339) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN132685) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX compact license) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2011-08-11 |