| NPI | 1992735518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 789032) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA811) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 591153) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-05-05 |