| NPI | 1871732735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 658778) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 080756) |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2017-02-23 |