| NPI | 1912099177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 746485) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 072225) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2012-04-13 |