| NPI | 1003888447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0001212718) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 598148) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2015-04-23 |