| NPI | 1811974009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 051958) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 617986) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2012-07-31 |