| NPI | 1598055220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 905309) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 467970) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2019-01-10 |