| NPI | 1760717391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP06726) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 727230) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2016-12-15 |