| NPI | 1750808150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 5366215-4406) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 5366215-3102) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-09-20 |