| NPI | 1780878587 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP117976)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9273952)  | 
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 310171)  | |
| Enumeration Date | 2007-09-05 | 
| Last Update Date | 2020-06-16 |