| NPI | 1942506092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 199757) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 725117) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2022-03-07 |