| NPI | 1861790644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP128060) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024169227) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0937) | |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2015-05-05 |