| NPI | 1750327508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 87006) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 584742) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2021-07-19 |