| NPI | 1780008847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D119780) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 6450-33) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 100631) | |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2020-10-15 |