| NPI | 1861563603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP01881) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 54280) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2024-01-30 |