| NPI | 1093140204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 5651) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 085596) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2014-11-04 |