| NPI | 1043359532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 53752) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 180249) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2014-12-18 |