| NPI | 1831197680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2012020211) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 686439) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2015-03-31 |