| NPI | 1639184591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX Ap108323) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704236874) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 645156) | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2020-04-27 |