| NPI | 1053709154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 19772) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 105135) |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2015-11-11 |