| NPI | 1053696419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 17607) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 146554) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2012-06-01 |