| NPI | 1053732115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024171489) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R187906) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2017-03-20 |