| NPI | 1033185905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024167331) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 166825) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2007-07-27 |