| NPI | 1619268273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP06490) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 794522) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2016-04-26 |