| NPI | 1669470563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 444487) |
| Additional Taxonomies | 163WX1100X Registered Nurse, Ophthalmic (Licence: TX 444487) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2011-04-05 |