| NPI | 1003815267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024076529) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0024076529) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2019-02-21 |