| NPI | 1609820505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 585344) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA APO1525) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2011-05-26 |