| NPI | 1780986232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9316181) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 135868 TEMP) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2013-10-04 |