| NPI | 1669459335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 38907) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 509048) |
| 163W00000X Registered Nurse (Licence: OH rn-224995) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2018-02-08 |