| NPI | 1780014217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 884828) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001232420) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 4974) | |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2018-03-22 |