| NPI | 1699720532 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 790893) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28160032) | 
| Enumeration Date | 2006-05-22 | 
| Last Update Date | 2018-06-07 |