| NPI | 1710118690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 807598) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM RN-69402) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2021-11-22 |