| NPI | 1528089000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 526485) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI 540) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2011-02-08 |