| NPI | 1780681940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101151) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 665511) |
| Enumeration Date | 2005-07-02 |
| Last Update Date | 2013-06-25 |