| NPI | 1710336540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 110970) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 888512) |
| 163W00000X Registered Nurse (Licence: WA RN60021894) | |
| 163W00000X Registered Nurse (Licence: PA RN648262) | |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |