| NPI | 1659321081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 689611) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX 689611) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2008-10-23 |