| NPI | 1912276098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN605154) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 731693) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2016-09-14 |