| NPI | 1720311517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP122644) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28142173) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704288950) | |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2018-08-16 |