| NPI | 1952445108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 3098) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 793077) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2016-08-11 |