| NPI | 1912091489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP123601) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 1704232116) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-06-23 |