| NPI | 1063786853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101189) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D110371) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2019-10-29 |