| NPI | 1720041338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP04468) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 630433) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2010-06-17 |