| NPI | 1023407335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R175780) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE 104871) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-06-22 |