| NPI | 1053308080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9247004) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 1087166) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VT 101-0034357) | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2007-07-08 |