| NPI | 1972842268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 0990654) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 169062) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 2325) | |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2015-02-10 |