| NPI | 1023080199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 126514) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 126514) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2017-08-22 |