| NPI | 1013915966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 1967A) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 128131) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-12-14 |