| NPI | 1982840997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 2361) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 167913) |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2013-11-06 |