| NPI | 1033387402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 230674) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 079007) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2016-12-13 |