| NPI | 1679528293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201060011CRNA) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 554689) |
| 163W00000X Registered Nurse (Licence: OR 201041006RN) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 81908) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP105722) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2018-07-24 |