| NPI | 1770703951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AK 386) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 692898) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2013-07-22 |