| NPI | 1710217492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP06036) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 113324) |
| 163W00000X Registered Nurse (Licence: TX 779616) | |
| Enumeration Date | 2010-01-02 |
| Last Update Date | 2019-06-27 |