| NPI | 1568519270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2361259) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 47042) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2022-02-15 |